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Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer)
Published by Universitas Gadjah Mada
ISSN : 2613943X     EISSN : 26205572     DOI : https://doi.org/10.22146/rpcpe
Core Subject : Health, Education,
Education Health Professions Medicine & Pharmacology Public Health
The Review of Primary Care Practice and Education is a bilingual open access journal which provides scientific information on the field of ‘Primary Care’ and ‘Family Medicine’ in the form of research-based scientific articles, case reports, policy briefs and new findings from experts, civitas akademika and medical practitioners. This journal is an official journal of the College of Indonesian Primary Care Physicians in collaboration with the Department of Family and Community Medicine of the Faculty of Medicine, Universitas Gadjah Mada, with the inaugural publication in January, 2018. The limited number of scientific journals of primary care and family medicine in Indonesia encouraged the College of Indonesian Primary Care Physicians to create a journal which focuses on the primary care, family and community medical sciences, and to disseminate the information to academics, health practitioners, and the public. This journal contains scientific information on strengthening efforts of primary care, various health problems in primary care, principles of education and family medicine services, and the efforts to create a healthier and prosperous community in Indonesia and the world.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 131 Documents
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Family Caregiver Phenomenon that Treats Persons with Disabilities Since Birth Halawiah Wia Musi
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 3, No 2 (2020): May
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.57626

Abstract

Background: Disability is a disturbance or limitation of physical activity involving participation restrictions. The disturbance is a problem in the body’s function and its structure. Restrictions on physical activity are the difficulties faced in performing tasks or actions, while limiting participation is a problem experienced by individuals in engagement in life situations. Objective: This study aimed to provide an in-depth description of the feelings, explain the obstacles or difficulties experienced and explain the caregiver’s expectations of mothers/fathers/brothers in caring for children with disabilities from birth. Method: This study was a qualitative research with a descriptive phenomenology approach. Data collection was conducted through in-depth interviews of family caregivers of persons with disabilities since birth with inclusion and exclusion criteria. The data were analyzed by Colaizzi’s method and data triangulation was performed by a coder to maintain data validation. The sample selection was done by purposive sampling. The sample of the study amounted to 17 persons who were family caregivers. Result: The results showed that caregiver phenomenon in caring for persons with disabilities since birth is a burden. Psychological burdens include sadness, disappointment, anger, guilt, depression and ultimately acceptance. Additionally, there are financial burdens, time constraints and social stigma. Conclusions: Caregivers for persons with disabilities since birth experience several burdens, including psychological, physical, financial and social burdens. There is the psychological burden of anger, disappointment, fear, worry, and guilt which many finally can accept. The physical burden of fatigue, lack of sleep, lack of appetite may result in diseases such as gastritis, hypertension, along with muscle and joint disorders. Financial burdens are related to medical expenses, transportation, and daily necessities. The social burden involves stigma, negative labeling and lack of time with other families and communities. It is hoped all caregivers with family and community support can accept and overcome these challenges.
Case Report: Dengue Hemorrhagic Fever in Children Maria Wahyu Daruki
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 3, No 2 (2020): May
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.57627

Abstract

Patients came to the Puskesmas with the patient's child with complaints of heat for 4 days ago before the patient went to the Puskesmas. The patient began to feel the body shivering for 4 days ago by feeling pain throughout the body accompanied by shivering and not having energy/feeling weak. At present, patients complain of headaches, joints ache and feel just want to stay alone. The patient checked the patient's temperature around 38-39˚C for 2 days ago. The patient did not complain of swallowing pain, decreased appetite, but the patient still ate a lot to improve the condition. The heat arises suddenly during the day, and the patient only takes the drug paracetamol but the heat and pain decrease only slightly. Patients had had time to go to the Puskesmas and check blood at that time obtained 138,000 platelet laboratory results, hematocrit 46.7% and leukocyte rate 3,200/mm3, the patient was given medication by a doctor at the Puskesmas paracetamol 3x500 and vitamin C, and recommended control again the next day. At the time of control, the patient's condition was still weak, headache was still persistent, and also joint pain was still present. Then blood was taken again, and platelet results were obtained 70,000/μl, hematocrit 70.1% and leukocyte count 6,500/mm3, around the patient's home there was 1 child who was treated with dengue fever. The patient complained of nausea but did not vomit. The gums are not bleeding and there are no nosebleeds, then an RL test and a positive result are performed. Patients are advised to be referred to Regional Public Hospital to get further treatment. The patient has never experienced this condition before. The patient had typhus but was not hospitalized, only with outpatient care. Other illnesses are just coughing and the common cold, not serious illnesses. The patient has a drug allergy to ciprofloxacin.
Profiles of Housewives with HIV in Surabaya Hanna Tabita Hasianna Silitonga; Hebert Adrianto; Minarni Wartiningsih; Chindy Claudya Angriyanto
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 4, No 1 (2021): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.55948

Abstract

Most HIV transmission to housewives was transmission from husbands infected with HIV. The number of housewives infected by HIV was increasing especially in Surabaya. This research aimed to find out the profile of housewives infected with HIV so that strategies can be proposed to prevent transmission to this group. This was a descriptive study with cross-sectional design. The research subjects were housewives with HIV in Surabaya with purposive sampling method. Inclusion criteria were not commercial sex workers (CSWs) or former CSWs, had main role as housewives, one-time marriage history, can read, write, and willing to be respondents. The number of respondents were 58 people. Data was collected by questionnaire containing general characteristics, marital history, husband's history, signs and symptoms of HIV for the first time, history of the first examination, history of disclosure of first time status, and the first source of information about HIV. Data analysis was frequency distribution and percentage. The results showed that the age of majority of respondents were 36-45 years old, high school education, married age 17-25 years, husband's age at marriage 17-25 years, husband's work was an employee, with high school education, history of husband's behavior was having a relationship with other women, the history of the first HIV test was in hospital, with no symptoms, the first source of information about HIV was a doctor, and the majority revealed it to her husband. Proposed strategies in accordance with these profiles are interventions in high school, pre-marriage, marriage, and the husband's workplace setting.
Case Report: Managing Dengue Fever at Home Fitriadi, Yogi
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 4, No 1 (2021): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.56865

Abstract

The patient is 6 years old male child, the patient went to the clinic with his parents, complaints of fever since three days ago. The fever goes up and down, reduce with administration of fever medication. The patient complained of nose bleeds 2 times, accompanied by headache. headache feels throbbing, felt constantly, and decreases with rest. The Complaints are not accompanied by coughs, sneeze, dyspnea, epigastric pain, nausea, vomiting, black stool and bloody urine. Patients still want to eat and drink. The patient has no history of traveling out of town in the past 2 weeks.The patient's mother has no history of high blood pressure and diabetes during pregnancy. The patient was born via vaginal delivery, the patient's body weight was 3250 grams. The patient was born in a healthy condition, received Hb0 immunization and vitamin K injection. The patient was treated with his mother after birth. Complete immunization history of patients according to age. Patients attend basic and mandatory immunization programs from the government.The patient is the only child of the marriage of the father and mother. The patient's father and mother are still alive, with a complete history of immunizations, now living together with his parents and grandparents. The patient's home is 8x15 meters, with tiled floors, walls made of walls, water sources are obtained from water drink company. Ventilation and home lighting is quite good. The house looks neat and not dirty. There was no visible tub of open water. The bathroom uses a shower.
Scientific Prediction of the Covid-19 Pandemic and What Should Society Do? Iche Andriyani Liberty; Mariatul Fadilah; Hari Kusnanto Josef
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 3, No 3 (2020): September
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.57577

Abstract

What is the scientific prediction for the Covid-19 pandemic? Currently, as of April 8, the world’s confirmed cases have over 1.2 million, the death of more than 72 thousand. For Indonesia,  today  2,738  confirmed cases,  221  deaths,  and those who recovered 204.1-3. The update on April 8 today, WHO itself estimates that the Covid-19 Contagion Rate is 1.4 to 2.5. This will form the basis of predictive modeling. Several studies conducted show that currently the basic reproduction number or  R0  of  Covid-19  is higher than SARS.  Initially in the range of  2-3  or an average of  2.5, currently R0 is 1.4 - 6.9. This is what will form the basis of modeling. R0 or the basic reproduction number shows how many people a person can become infected with.  If the R0 is more than 1, we are in an epidemic status as it is today, R0 = 1 endemic, and our R0 is less than 1 we have eradicated. R0 itself consists of three components, namely p: transmission, c: number of contact, and D which is the duration of the infection itself. These calculations are the main points in modeling.
The Association Between Knowledge About Gout Arthritis with NSAID and Allopurinol Consumption in Rumah Susun Penjaringan Brigita Naomi Santoso; Erfen Gustiawan Suwangto; Maria Riastuti Iryaningrum
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 4, No 1 (2021): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.58359

Abstract

Background: Health ministry is one of ministries in Indonesia who needs high fund every year. It is used for national health, starting from the availability of health infrastructure to the availability of medicine in health primary care and hospital. In Indonesia, there is a myth that joint pain is gout arthritis. In Indonesia, 71% people who have joint pain buy pain killer without going to get an examination by doctor first. Therefore, a research  about the relationship between knowledge about gout arthritis and NSAID and Allopurinol consumption in Rumah Susun Penjaringan. Objective : Knowing if there is association between knowledge about gout arthritis and NSAID and Allopurinol consumption. Methods : This research used cross sectional study and involved 68 people in Rumah Susun Penjaringan. Result : There is no significant relationship between knowledge about gour arthritis with NSAID (p = 0.234) and Allopurinol (0.666) consumption in Rumah Susun Penjaringan. Conclusion : There is no relationship between knowledge about gout arthritis with NSAID and Allopurinol consumption in Rumah Susun Penjaringan. 
The Role of Sugar in COVID Pandemic Hilmi Sulaiman Rathomi
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 4, No 1 (2021): January
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.58952

Abstract

By the middle of August 2020, COVID-19 had infected over 20 million people worldwideand caused more than 700,000 deaths. The elderly and patients with comorbidities are themost affected group since they have a higher fatality rate because of COVID-19. For patientsyounger than fifty, the risk of death is just under one percent, but in the elderly, especiallythose over 65, the risk of death jumps 2 to 8 times 1,2 .The presence of comorbidities also significantly increases the risk of COVID-19 death.People with diabetes and obesity can increase their risk of death by 1.5 times, whilehypertension and heart disease raise the mortality up to 1.6 to 3 higher 3,4,5 . This situationshould make us aware; we are not only facing the COVID-19 pandemic but also a pandemicof non-communicable diseases (NCDs).There are so many people who are now suffering from obesity, diabetes, hypertension, andheart disease, they are the leading causes of worldwide deaths. Four main NCDs, i.e.cardiovascular diseases, cancer, diabetes, and chronic pulmonary diseases are responsible for82% of mortality 6 . One of the reasons that causes those diseases to have rapid growth, isbecause obesity, as the primary basis of almost all NCDs, is socially contagious 7 . Christakisexplained that people who have closeness with obese people, over time, will also be obese.Vice versa, obese people can cause people in their social circles to be obese for a certainperiod 8 .
Concept of Primary Care Clinic Facilities and Management in the New Era of Covid-19 Trevino A Pakasi; Dhanasari Vidawati Trisna; Levina Stephanie Pakasi
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 3, No 3 (2020): September
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.59699

Abstract

This is a concept paper of how a primary clinic should be managed in the new normal era, facing the pandemic of Covid-19, but also the possible pandemic in the future. We proposed how to manage the clinic based on several findings regarding epidemiology, virus transmission, and many other best practices to reduce contact but maintaining the service through an online connection. We also highlighted the recommended use for indoor air quality management, which is the use of a HEPA filter. Other devices may be used but in special precaution.  
Rural Health Response and Community Preparedness for the Covid-19 Pandemic Nita Arisanti; Trevino A Pakasi; Syarhan Syarhan
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 3, No 3 (2020): September
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.59717

Abstract

Covid-19  is  a  highly  contagious  disease  and  has  infected more than seven million people worldwide. Deaths due to this  disease  have  reached  418,000  deaths  in  June  2020.1 Based on data from the Indonesian Covid-19 Task Force, there were 172,053 cumulative cases with a death rate of 4.3% in Indonesia up to August 30, 2020.Indonesia  is  an  archipelago  country  which  has  different geographical  characteristics. Currently,  access  to  basic healthcare  and  quality  of  basic  health  services  has  not reached  all  regions,  especially  those  in  underdeveloped, remote  and  archipelago  areas. Health  problems  in  rural areas become a concern for Indonesian government. This is because around 43% of people live in rural areas or around 116  million  people.  Government  should pay  attention  to rural  health  problems  as  well  as  urban  health.  Likewise, during  the Covid-19  pandemic  rural  area  will  face  same problems to Covid-19. 
Factors Associated with Mental Distress Among Medical Students of Universitas Pembangunan Nasional Veteran Jakarta Anisya Zakiyyahaya Arvant; Sri Wahyuningsih; Suzy Yusna Dewi
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 4, No 2 (2021): May
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.62462

Abstract

Background: Mental distress refers to common mental disorders, such as depression, anxiety, and somatic symptoms, and is considered public health problem. It is reported that university students tend to have higher levels of mental distress compared to the general population, especially in medical students.Objective: The purpose of this study is to determine the risk factors affecting mental distress among medical students.Methods: A cross-sectional study using a survey was conducted among preclinical medical students at UPN Veteran Jakarta in June 2020. This study used proportional stratified sampling to complete questionnaires including demographic characteristics, adverse childhood experiences (ACE), family APGAR, and self-reporting questionnaire (SRQ-20). Data were analyzed by using logistic regression.Results: Among 138 participants, 36.2% had at least one of ACE, 55.1% of students came from a family with dysfunction, and 36.2% experienced mental distress. In multivariate analyses, some essential factors associated with mental distress are gender (OR=12.059, 95% CI: 2.311,62.916), adverse childhood experiences (OR=3.080, 95% CI: 1.903,4.983), family function (OR=2.733, 95% CI:1.097,6.809), and family structure (OR=0.290, 95% CI: 0.085,0.984).Conclusion: Students who are female, have history of adverse childhood experience, come from family with dysfunction, or non- nuclear family structure are more likely to be screened positive for mental distress. This study recommends an urgency of counselling service availability for medical students and community awareness to build a healthy family environment.

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